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Mopath procedure level 7 at UPMC Presbyterian
200 Lothrop Street, Pittsburgh, PA · UPMC · · NPI 119473412
$8,476.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$14,128.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$29.70 with Aetna vs $4,808.28 with Highmark BCBS of PA — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | CHIP/Medicaid | $29.70 | ↓ -100% |
| Geisinger | Medicaid/CHIP | $90.75 | ↓ -99% |
| Preferred Healthcare System | PPO | $107.25 | ↓ -99% |
| Coventry/First Health | Commercial | $115.50 | ↓ -99% |
| Fidelis | Medicare | $123.75 | ↓ -99% |
| InterGroup | InterGroup Services Corporation | $123.75 | ↓ -99% |
| Health Coalition Partners | Intergroup | $132.00 | ↓ -98% |
| Multiplan | PPO | $132.00 | ↓ -98% |
| Private Health Care Systems | PPO | $132.00 | ↓ -98% |
| SelectCare | Commercial | $132.00 | ↓ -98% |
| Health Payors Organization | Commercial | $140.25 | ↓ -98% |
| Humana | Commercial | $140.25 | ↓ -98% |
| InterGroup | Approved National Affiliated PPO Business | $140.25 | ↓ -98% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $207.07 | ↓ -98% |
| UPMC Work Partners | Workers Comp | $279.57 | ↓ -97% |
| AmeriHealth Caritas | Medicare | $305.51 | ↓ -96% |
| Cigna Lifesource | Medicare Transplant | $305.51 | ↓ -96% |
| Highmark Wholecare (prev Gateway) | Medicare | $305.51 | ↓ -96% |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $305.51 | ↓ -96% |
| United Healthcare | Medicare | $305.51 | ↓ -96% |
| Aetna | Medicare | $311.17 | ↓ -96% |
| Aetna of PA | Medicare | $311.17 | ↓ -96% |
| Multiplan | Worker's Compensation | $325.08 | ↓ -96% |
| UPMC Health Plan | Commercial | $578.16 | ↓ -93% |
| Highmark BCBS of PA | Medicare Advantage | $1,080.08 | ↓ -87% |
| Highmark BCBS of PA | Managed Care - Social Mission | $1,795.29 | ↓ -79% |
| Highmark BCBS of PA | Managed Care | $2,404.14 | ↓ -72% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2,837.61 | ↓ -67% |
| Highmark BCBS of PA | Commercial - Indemnity | $3,800.21 | ↓ -55% |
| Highmark BCBS of PA | UPMC Emergent | $4,808.28 | ↓ -43% |
Visitor-reported prices
Comments
Mopath procedure level 7 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $15,543.60 | $56.10 – $1,080.08 |
| UPMC Mercy | Pittsburgh | $8,476.80 | $46.03 – $1,069.89 |
| UPMC St. Margaret | Pittsburgh | $8,476.80 | $41.58 – $1,080.08 |
| UPMC Muncy | Muncy | $6,588.60 | $23.40 – $279.57 |
| UPMC Northwest | Seneca | $8,476.80 | $66.00 – $305.51 |
| UPMC Wellsboro | Wellsboro | $8,366.40 | $23.58 – $279.57 |
| UPMC Williamsport | Williamsport | $8,008.80 | $60.48 – $305.48 |